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General NPI Number Information
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NPI Number | 1144171604
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Entity Type | Organization
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Legal Business Name | BALANCED WELLBEING USA PA
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 823 BROAD ST STE 209
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City | AUGUSTA
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State | GA
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Zip | 30901-1214
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Country | US
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Telephone | 877-779-2429
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Fax |
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Provider Business Mailing Address
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Address Line | 3932 W EAU GALLIE BLVD
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City | MELBOURNE
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State | FL
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Zip | 32934-3283
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GAURAV KULKARNI
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Credential |
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Telephone | 877-779-2429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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